Manager- Hospital Billing Full Time Days

East Tennessee Children's Hospital

About The Position

The Manager of Hospital Billing is responsible for overseeing and coordinating all aspects of the healthcare organization’s revenue cycle operations to ensure accurate, timely, and compliant billing, collections, and reimbursement processes. This position provides leadership to Hospital Billing Department with a focus on optimizing cash flow, reducing denials, and enhancing patient financial experience. Come work where you can make a difference everyday. At Dolly Parton Children’s Hospital, care is at the CORE of who we are. We are comprised of team members who live out our core values of Compassion, Ownership, Respect, and Excellence. We support each other by fostering a culture of team engagement that creates moments that matter – every interaction, every time. Compassion – We imagine what others are going through, work to alleviate suffering, and create joy whenever possible. Ownership – We take pride in our work, act with integrity, and feel personal responsibility for achieving our mission. Respect – We listen, understand, and communicate openly and politely. We recognize our diverse strengths. Excellence – We set high standards for performance in delivering the safest patient care. We give extraordinary and meaningful experiences to our patients, their families, team members, and the community we serve.

Requirements

In-depth knowledge of healthcare reimbursement, payer contracts, and compliance regulations.
Strong analytical and financial management skills.
Excellent leadership, communication, and problem-solving abilities.
Proven ability to manage change, motivate staff, and build cross-functional relationships.
Commitment to patient-centered service and continuous process improvement.
High School/GED
Three years of revenue cycle experience including significant experience within the health insurance accounts receivable.

Nice To Haves

Bachelor’s Degree

Responsibilities

Responsible for department oversight, directing and supervising activities of the team and systems involved in hospital billing; including ensuring timely claims submission, denial management, appeals, accounts receivable follow up, and accurate payment posting.
Develop daily, weekly, and monthly work priorities for assigned supervisors and staff.
Makes recommendations regarding disposition of accounts.
Reviews of billing reports, collections, and other information to ensure staff production and quality assurance metrics are being met.
Identifies, communicates, and facilitates resolution of problems as necessary.
Analyzes trends impacting payer reimbursement to inform decision making; presents applicable issues to payer relations representatives, hospital’s leadership and hospital’s managed care department to resolve issues.
Maintains billing system and edits to assure compliance with billing and regulatory requirements.
Work with clinical and administrative teams to resolve billing issues and improve workflow.
Succession Planning -- Helps develop skill redundancies among team members.
Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development.
Ability to accept any other assignment that may be requested.
Utilizes hospital resources and time respectfully and accountably.
Works as efficiently as possible to ensure best use of time in account resolution